Registration

Registration at Memorial Health locations.

We make every effort to streamline your registration process at Memorial Hospital and all locations within Memorial Health. Wherever you arrive to register, please bring your:

  • Insurance card
  • Photo ID
  • Medical Power of Attorney papers, if applicable
  • Advance Directive papers, if applicable

For Outpatient Surgery at Memorial Hospital or Memorial Hospital Outpatient Surgery Center

Your surgeon’s office will inform you of the location for your procedure, and the registration process. You will be advised if you need to visit the hospital prior to your procedure for pre-admission testing. You will register upon arrival at the registration desk in the lobby.

If you or your family members have any questions before your surgery call, (937) 578-2476.

For a Scheduled Admission to Memorial Hospital

Park in lot H and use entrance H on the Plum Street side of Memorial Hospital. Check in at the information desk. The admission office is located just past the desk. One of our highly trained professionals will ask you a few questions and help you complete the necessary paperwork in strictest confidence. Once your registration is complete, you will be given an identification bracelet and escorted personally to your room. If you have questions, call (937) 644-6115 or (800) 686-4677, and ask for Registration.

For Childbirth

  • If arriving between 6 a.m. and 8:30 p.m., follow the guidelines listed above for a scheduled admission to Memorial Hospital.
  • If arriving between 8:30 p.m. and 6 a.m., come to the Memorial Hospital Emergency Department to register.

Following registration, you will be taken to the Memorial Miracle Life Center.

For all persons under the age of 18 who are receiving medical treatment:

For all admitted persons under the age of 18, a Medical Consent Form (signed by parents or a legal guardian) is required, giving another party consent to make emergency medical decisions in their absence.

Medical Consent Form